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South Dakota rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $42.16 / $42.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.57 / $53.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.89 / $42.16 / $52.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $70.73 / $83.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $46.59 / $4,110.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.69 / $53.26 / $67.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.72 / $49.33 / $62.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $46.13 / $46.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $46.93
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.80 / $45.80 / $45.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.80 / $45.80 / $45.80